Individual
MRS. CHARMAIN BAKER FENOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #014374
Contact information
Practice address
112 FOX RUN RD, ELIZABETHTOWN, NY 12932-2904
(518) 524-6520
Mailing address
112 FOX RUN RD, ELIZABETHTOWN, NY 12932-2904
(518) 524-6520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014374
NY
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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